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* 1. At which library would it be most convenient for you to attend book club meetings?

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* 2. How often would you like the book club to meet?

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* 3. Which day would be most convenient for you to attend book club meetings?

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* 4. At which time would it be most convenient for you to attend book club meetings? (You can fill in more than one box.)

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* 5. What types of books are you interested in reading? (You can fill in more than one box.)

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* 6. If you would like us to contact you with updates about the book club by email please provide your name and email address in the boxes below.

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* 7. If you would like us to contact you with updates about the book club by phone please provide your name and phone number in the boxes below.

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